title: Maternal depression and rapid subsequent pregnancy among first time mothers.
abstract: OBJECTIVE
  To examine differences in prenatal depression among first-time mothers who had a subsequent pregnancy within 6 months of first birth and those who did not. Mothers with depression symptoms were expected to have a greater likelihood of rapid subsequent pregnancy.
  
  
  METHODS
  The Parenting for the First Time study is a longitudinal multisite prospective descriptive study designed to identify and understand the dynamics of subthreshold neglectful parenting behaviors among first-time mothers. Data were collected from the prenatal period through the child's first 3 years of life. The Parenting for the First Time sample consisted of 684 first-time mothers between 15 and 36 years. Data were available on prenatal depression and subsequent pregnancy at 6 months for 279 participants (n = 279).
  
  
  METHODS
  Multiple logistic regression analysis was conducted to determine the odds of subsequent pregnancy within 6 months of first birth.
  
  
  RESULTS
  Twelve mothers (5.9%) became pregnant within 6 months of first birth. The odds of subsequent pregnancy were 7.24 greater (95% confidence interval [CI]: 2.18-24.04) among mothers with moderate-to-severe depression. White versus non-White race did not influence subsequent pregnancy (0.91, 95% CI: 0.18-4.49). Pregnancy was not significantly different between teen and adult mothers (odds ratio: 0.92, 95% CI: 0.24-3.68).
  
  
  CONCLUSIONS
  In this sample of first time mothers, moderate-to-severe depression symptoms were associated with subsequent pregnancy within 6 months of first birth. Routine depression screening by nurses during the prenatal period offers opportunities for intensive contraceptive counseling and may help mothers achieve optimal birth spacing.
authors.affiliation: Section of Midwifery, Department of Obstetrics and Gynecology, Washington Hospital Center, Washington, DC, USA. Loral.Patchen@medstar.net
authors.forename: Loral
authors.initials: L
authors.lastname: Patchen
authors.forename: Robin Gaines
authors.initials: RG
authors.lastname: Lanzi
mesh_terms: D000293:Adolescent; D000328:Adult; D001722:Birth Order; D019052:Depression, Postpartum / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008423:Maternal Age; D008425:Maternal Behavior / Q000523:psychology*; D009035:Mothers / Q000523:psychology* / Q000706:statistics & numerical data; D010298:Parity; D011247:Pregnancy; D011446:Prospective Studies; D012307:Risk Factors; D016387:Women's Health; D055815:Young Adult